Gait training using powered robotic exoskeleton for a person with spinal cord injury: a case report.

Abstract

Introduction: Robotic Exoskeleton-assisted gait training is an emerging approach in spinal cord injury (SCI) rehabilitation. This case report evaluates the effectiveness of Powered-Robotic exoskeleton-based gait training in an individual with chronic paraplegia.

Case presentation: A 31-year-old male with T12 SCI due to fall underwent a four-week structured rehabilitation program incorporating powered robotic exoskeleton training (Exo-Rehabilitation) alongside conventional therapy. The patient participated in 15 sessions over four weeks of intervention, with progressive gait training phases, transition from assisted weight-bearing to independent crutch-assisted walking. Functional, neurological and psychological outcomes were assessed pre and post intervention. Clinical measures include, Function in sitting test (FIST), Walking Index for Spinal cord injury (WISCI-II), ISNSCI lower extremity motor scores (LEMS), Spinal Cord Independence measure (SCIM III), 6-min walk test (6MWT) and Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST 2.0). Patient reported outcomes and attendance were also recorded. The patient demonstrated better, sitting balance, and functional mobility, with enhanced psychological well-being and adherence to rehabilitation.

Discussion: Robotic Exoskeleton-assisted gait training may be safe and a feasible approach to improve mobility, balance, and functional independence in SCI patients. Robotic overground exoskeleton-based gait training may represent a significant step forward in bridging the gap between conventional therapy and advanced technology, offering new hope for functional recovery and independence in individuals with Chronic SCI.